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My cat is throwing up. what should I do?

My cat is throwing up. what should I do?
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Answered in 1 minute by:
6/11/2018
Dr. B.
Dr. B., Cat Veterinarian
Category: Cat Veterinary
Satisfied Customers: 23,478
Experience: Small animal veterinarian with a special interest in cats, happy to discuss any questions you have.
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Hello & welcome, I am Dr. B, a licensed veterinarian and I would like to help you today.

How long have you been seeing these signs?

What does the vomit look like?

Can Wolfgang keep water down?

Are her gums pink or white/pale? Moist or sticky?

If you press on her belly, any tensing, tenderness, discomfort, or pain?

Could she have eaten anything harmful (ie bones, toys, plants, chemicals, human medications/drugs, etc)?

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Customer reply replied 2 months ago
Hi-about a week. It's after eating. yes she can keep water down. no discomfort on the belly. she is an indoor cat so unlikely she would have eaten anything bad

Hello again,

First, I am glad to see she hasn't those more severe signs and that toxicities aren't likely an issue. Though I have to note that if Wolfgang has been vomiting for a week, we'd be wary of this being due to a bacterial or viral gastroenteritis, pancreatitis, parasites/protozoa infections, or dietary indiscretion. Plus at her age, there would also be a bit of concern about kidney or liver issues, or cancer (hopefully less likely though).

With this all in mind, we can try some home supportive care to try to settle her stomach. To start, if she hasn’t just vomited (since otherwise we’d need to rest her stomach for a few hours first), then you can consider treating her with an OTC pet safe antacid. [ie Pepcid (More Info/Dose @http://www.petplace.com/article/drug-library/library/over-the-counter/famotidine-pepcid), Tagamet (More Info/Dose Here @ http://www.petplace.com/article/drug-library/library/over-the-counter/cimetidine-hcl-tagamet)]. Whichever you choose, we’d give this 20 minutes before food to allow absorption. Of course, do double check with your vet if she has a known health issues or is on any medications you haven't mentioned. Though if you give this and she cannot keep it down due to nausea that is usually a red flag that we need to bypass her mouth with injectable anti-vomiting medication from her vet.

Afterwards, you can consider starting her on small meals an easily digestible diet like boiled chicken, boiled white fish, or meat baby food (as long as its garlic/onion free). There are also OTC vet diets that can be used (ie Hill’s I/D or Royal Canin’s sensitivity) too. The aim of these diets is that they will be better tolerated/absorbed by the compromised gut. Therefore, it should get more nutrients in and result in less GI upset. As long as improvement is being seen, I usually advise continuing this until the signs are settled, and then weaning her slowly back to her normal diet.

Since dehydration is a risk for Wolfgang, we need to keep an eye on her hydration. Further to checking for gum moisture, do make sure she doesn’t have sunken eyes and that she doesn’t have a "skin tent" when you lift the skin. To see how to check these parameters for dehydration, you can find a good video HERE (http://www.ehow.com/video_12232503_dog-dehydrated.html). If you are seeing any signs of dehydration already, then that would be our cue to have her seen before this becomes an additional issue for her (especially as it is often dehydration that makes them feel unwell).

Overall, her signs do raise a few concerns especially as she is an older lass. Therefore, we’d want to start supportive care to settle her stomach. If she cannot keep that or water down at any point, appears dehydrated already, or doesn’t respond to the above within 12-24 hours; then we'd want to get her vet involved. They can assess her hydration, test bloods to make sure her organs are ok, make sure there is nothing in her stomach that shouldn't be there or any sinister viruses present. Depending on their findings, her vet can treat her with injectable anti-vomiting medication, fluids, +/- antibiotics to settle her stomach, and get her back feeling like herself.

Kind regards,

Dr. B

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Dr. B.
Dr. B., Cat Veterinarian
Category: Cat Veterinary
Satisfied Customers: 23,478
Experience: Small animal veterinarian with a special interest in cats, happy to discuss any questions you have.
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Hi,

I'm just following up on our conversation about Wolfgang. How is everything going?

Dr. B.
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